Your End Range of Motion is the Beginning

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In the Functional Range System, your end range becomes our starting point for training.

There are four main ways we train:

  1. At end range
  2. To end range
  3. To end range with velocity
  4. Full range

The approach depends on a number of factors, including but not limited to:

  • Goals
  • Current Passive Range of Motion (ROM)
  • Current Active ROM
  • Injuries
  • Neurological Control

Training at end ranges is a crucial part of what makes FRS different than the standard strength model.

The standard strength model mainly utilizes highly patterned exercises in mid-ranges of motion. It says: practice patterned movements with what you already have (Dr. Spina).

FRS says: let’s give you access to more of your own biology and use it fully (Dr. Spina). We do this by increasing ROM where needed, gaining more control over your ranges of motion, and building strength and resilience at your end ranges and full ROM.

To change the capacities of the tissues, you have to get specific. Patterned exercises like in the standard strength model won’t do that.

Thus, I employ the Functional Range System to fill the gaps in the standard strength model and help you move better and function more healthfully by improving tissue and joint specific capacities. Then, I utilize the standard strength model for its global health benefits.

Exercise and Training are not the same thing. Most people see exercise from an external perspective. But they need to be understanding it from an internal perspective. Exercise is using the system and improving the systems ability to function as a system. Training is changing the [components of the] system to increase the abilities. – Dr. Andreo Spina, musculoskeletal expert and FRS creator

What is Structural Medicine?

Structural Medicine

Structural Medicine is a unique approach within the field of Structural Integration that goes beyond surface-level treatment. It’s designed to directly address pain, movement challenges, and specific physical issues. What makes it different is how it combines trusted tools from conventional medicine — like strength and flexibility testing, postural assessment, and movement analysis — with innovative hands-on therapies and techniques from the world of alternative healing. These include manual therapy, myofascial release, movement education, neuromuscular re-education, and mindful dialogue.

Every session is tailored specifically to you — your body, your needs, and where you are in your healing journey.

Myofascial Length Testing

One of the most advanced tools used in Structural Medicine is called Myofascial Length Testing (MFLT). This process helps identify patterns of imbalance or tension in the body that may be linked to past injuries or ongoing discomfort. These insights allow me to create a highly personalized treatment plan that addresses your unique structure.

MFLT also makes it easier to track your progress by using real, measurable data before and after treatment. This clarity not only guides your care but also opens the door to meaningful collaboration with other healthcare providers as needed. Overall, this testing method significantly boosts the effectiveness of treatment and supports better long-term outcomes.

Extensive Evaluation

A big part of the Structural Medicine process involves carefully evaluating how your body is aligned and how it moves. This helps us understand where imbalances exist — whether that’s in muscle tone, flexibility, or strength — and how those imbalances may be affecting your posture or causing pain. With this information, we can begin a process of myofascial reorganization that helps bring your body into better alignment and flow with gravity, improving how you feel and move in your daily life.

Body Awareness and Pain Management: An Integrated Process

Structural Medicine isn’t just about the physical body — it also supports emotional and mental awareness. Through thoughtful conversation and guided movement, we can begin to uncover beliefs, habits, or emotional patterns that may be contributing to physical tension or limiting your ability to move freely.

This integrative approach helps you build a deeper, more empowered relationship with your body. As awareness grows, so does your ability to make lasting changes — not just in posture or movement, but in how you experience yourself and your life.

Have more questions? Please reach out! I would love to chat with you.

Creating More Options

Strength & Mobility Structural Medicine

In Functional Range Systems, we say: “You can’t move where you can’t move.”

The central nervous system (CNS) plays a crucial role in controlling and coordinating movement throughout the body. It does so by creating a kind of “map” that determines where and how different parts of the body can move. This process is referred to as the action map. Essentially, the action map is a representation of how your brain and spinal cord interpret and manage the body’s movements. It tells your muscles which actions to perform, when to do them, and how to execute them based on sensory information and motor commands.

Afferent/Efferent Flow

There are two primary types of inputs that the CNS uses to create this action map:

  1. Afferent inputs (sensory information): These are signals that travel from the body to the brain. Afferent inputs come from sensory receptors found throughout the body (like in the skin, muscles, and joints) and carry information about what’s happening in the environment. This information helps the brain to understand the current state of the body, which is essential for planning movements.
  2. Efferent inputs (motor commands): These are signals that travel from the brain to the body. Once the brain processes sensory inputs and plans a response, it sends efferent signals through the spinal cord to activate muscles. Efferent inputs ensure that the muscles respond in a coordinated manner to produce the intended movement.

Together, afferent and efferent inputs allow the CNS to dynamically adjust and control movements.

A great example of this is Controlled Articular Rotations (CARs). Moving a joint through its outer limits of range of motion deliberately and with control improves the afferent feedback from joint receptors and muscle spindles, and simultaneously enhances the efferent control over the muscles surrounding the joint. This creates a stronger, more resilient, and more mobile joint that can function effectively and minimize the risk of injuries.​

(Whether working with Morgan or me, you will most definitely be asked to do CARs either during our session or as a home movement practice. We provide a free video!)

Force Create Change

“Force is the language of cells” – our cells react to physical forces, such as pressure, tension, and compression. These mechanical forces are a fundamental means by which the body communicates with its cells, directing them to adapt, change, and function in specific ways.

When a force is applied to tissues—whether it’s through movement, stretching, or pressure—the cells “sense” these changes in their environment and translate them into biochemical signals. This allows the body to adapt to its physical environment, whether it’s responding to physical activity, injury, or therapeutic intervention.

In Structural Medicine manual therapy, force is applied through touch to affect fascia, muscles, and joints. These techniques use mechanical force to encourage specific changes in the tissues.

In mobility and strength training, force is similarly applied to red tissue (muscle), white tissue (connective tissue), bones and joints through internal force (contractions) or external force (weights/bands), and the body responds through adaptation.

Whether through manual therapy or strength training, force is the signal that drives cellular adaptation. Cells interpret the mechanical forces placed on tissues and respond by adjusting their structure and function to better handle the stress. Over time, consistent application of appropriate forces leads to improvements in tissue quality, strength, mobility, and overall function. 

Wrapping it up

​By opening up ranges of motion through mechanical force and then systematically improving both the sensing (afferent) and the acting (efferent) components of the nervous system, we enhance the communication pathway between the brain and the muscles, and we create a more robust and adaptable body which improves mobility, joint health, movement potential, and movement quality.

Simply put: if “you can’t move where you can’t move”, then we need to create more movement options and update the action map in your brain so you can move MORE and move BETTER.

When there are limited options, tissues and joints can get overworked and overstressed. Versus if you have lots of movement options then there is a little bit of stress across many different tissues and areas of the joint capsules.

Through manual therapy and mobility training, we give you more options.

The more movement options you have, the more adaptable you are.

The more movement options you have, the more things you can do in life.

Let’s help you live the fullest active life you can!

Assessments

Strength & Mobility Structural Medicine

Assessments are key to the work that both Morgan and I do. Assessments show us where your body can and cannot move so that we can more effectively treat you with structural medicine, or program strength and mobility for you.

Functional Range Assessments

(utilized in Strength & Mobility with Jessie)

In Functional Range Systems, we frequently state that “the sum of the parts is only as good as the parts.” We use the Functional Range Assessment (FRA) to see how joints work independently. Your body can’t lie – either you have the range of motion or you don’t. Each joint is assessed in both passive range of motion (PROM) and active range of motion (AROM). The passive and active ranges of motion (ROM) show linear and some rotational qualities of each joint.

Passive = flexibility; using outside force to move a joint into a range of motion

Active = functional mobility; using your own strength to move a joint into a range of motion; this is the range of motion you have control over; flexibility + strength/control

The image below is the passive and active ranges of motion overlaid so you can see the gap between them (the space between the red lines in the photo).

The gap between passive and active range of motion is where we are most vulnerable because we don’t have control or strength there. Our body can be forced to go in that gap but we don’t actually know how to use that range of motion. More specifically our Central Nervous System (CNS) only allows us access to range of motion that it can control (active ROM). We don’t want to see more than 20 degrees between passive and active.

Then we use Controlled Articular Rotations (CARs) to assess the outer limits of your range of motion in a rotational capacity and to essentially “map” your movement potential. This is a great explanation of CARs by the creator of FRS, Dr. Andreo Spina – check it out here.

These assessments are key to understanding your body so that we can address areas where you cannot move or have little control, as well as program traditional strength training exercises appropriate for your body. It is also an opportunity to discuss how you want to use your body and make sure you have the prerequisite ranges of motion, control, and strength to do those activities.

We can come back to these assessments as frequently as we like to check progress. Additionally pictures and videos can be employed to track progress.

Myofascial Length Testing

(utilized in Structural Medicine with Morgan)

Unique to Structural Medicine is a sophisticated diagnostic procedure called myofascial length testing (MFLT). MFLT is essential for treatment of complex inter-related traumas and structural imbalances. For example, many people suffer similar injuries but each person has a unique way that their body compensates for that injury depending on their movement patterns, past injuries, etc.

The objective findings from MFLT:

1) empower the practitioner to create a customized plan for treatment

2) provide a language to communicate intelligently and objectively with other medical professionals

3) provide physical measurements (pre and post treatment) to monitor or modify the treatment program, as well as enhance progress

Overall, MFLT is a powerful tool that elevates the practice of Structural Medicine substantially and drastically improves the outcomes for clients. 

Additionally, Structural Medicine involves extensive evaluation of postural alignment and movement in order to balance the myofascial tone, length, and strength across all the major joints of the body. Each individual has a unique set of requirements for their body so assessment of their set of demands is crucial to working with the client towards achieving their goals. Through myofascial integration, the Structural Medicine process moves the body closer to a more efficient organization and function in gravity.

Reflection

As a client you can contemplate how you want to physically engage with the world.

Assessing where and how your body is moving now paired with a more clear goal of where you want to be is the beginning of making changes and improving your structure.

Questions to Consider:

  1. What activities do you currently do and want to continue to do? (gardening, pickle ball, hiking, playing with grandkids, sports, etc.)
  2. What activities do you hope to do but are not currently engaged in?
  3. For the above activities, are there physical elements that are holding you back or causing discomfort? Are there physical elements you aren’t ready for whether that is in strength, confidence, ROM, etc.